NICU

Neonatal Sialadenitis

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Neonatal Sialadenitis, Newborn Parotitis, Sialoadenitis in Infants

  • Epidemiology
  1. Specific type of Sialadenitis to newborns
  • Pathophysiology
  1. Staphylococcus aureus (most common)
  2. Escherichia coli
  3. Pseudomonas aeruginosa
  4. Branhamella catarrhalis
  • Risk Factors
  1. Oral anatomic abnormalities
  2. Dehydration
  3. Prematurity
  • Signs
  1. Warm, tender single Salivary Gland (usually parotid)
  • Labs
  1. Gram Stain and culture of Salivary duct secretions
    1. Parotid duct (Stensen's Duct) at upper second molar
  • Management
  1. Increase hydration
  2. Oral antibiotics
  • Course
  1. Resolution usually within 1 week
  • References
  1. Walner in Cummings (1998) Otolaryngology, p. 5-121